Make an Appointment: (504) 290-0134 | kathybrockphd@gmail.com

kathybrockphd@gmail.com | (504) 290-0134
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Client Forms

If you would like me to collaborate with another provider (e.g., a medication prescriber or a previous therapist), simply fill out the following form.

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(504) 290-0134
kathybrockphd@gmail.com

Offering telehealth services to residents of LA, MN, MS, and MO.

Offering in-person services in
New Orleans, LA

By submitting this form via this web portal, you acknowledge and accept the risks of communicating your health information via this unencrypted email and electronic messaging and wish to continue despite those risks. By clicking "Yes, I want to submit this form" you agree to hold Brighter Vision harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means.